Individual
LYDIA ANNA ZELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
LYSTER ARMY HEALTH CLINIC, 301 ANDREWS AVE, FORT RUCKER, AL 36362-5333
(800) 261-7193
(334) 255-7710
Mailing address
301 ANDREWS AVE, FORT RUCKER, AL 36362
(570) 295-4969
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/01/2011
Last updated
09/05/2018
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